| NPI | 1366574659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW5221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 5221) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-09-04 |